JIS CODE: TES
STATE OF MICHIGAN
PROBATE COURT
COUNTY OF ALPENA
TESTIMONY TO IDENTIFY
HEIRS/INTERESTED PERSONS
(Guardianship/Conservatorship)
□ Adult □ Minor □ DDP
FILE NO.
In the matter of
1. My name is:
and I am interested in the welfare of the alleged ward and
make this petition as
A
Relationship
My address is
Address
2. The alleged ward □ does not have a spouse. □ has a spouse named
3. a. The alleged ward has the following children, both natural (born in or out of wedlock) and adopted:
b. Of the children listed in 3.a, the following are no longer heirs due to their adoption by someone other than a
stepparent:
c. Of the children listed in 3.a, the following are not children of the current spouse:
Answer question 4 only if question 3.a was checked.
4. a. The following children of the alleged ward listed in 3.a are deceased:
b. Children listed in 4.a left their own children (either natural or adopted) or left grandchildren from one or more of
their own predeceased children. The names of these descendants and the name of the child in 4.a to whom
they are related are as follows:
c. Of the persons listed in 4.b, the following are no longer heirs due to their adoption by someone other than a
stepparent:
If alleged ward has no surviving descendant, complete 5.
5. The alleged ward □ does not have a surviving father and/or mother. □ has a father and/or mother named
If alleged ward does not have a spouse, descendants, or parents, complete 6 (and 7, if applicable).
6. The alleged ward □ did not leave surviving brothers or sisters. □ left the the following brothers or sisters, either
natural or adopted, whole blood or half blood, who were not adopted by others and who survived the decedent:
JIS CODE: TES
7. One or more of the brothers and sisters of the alleged ward died leaving descendants, either natural or adopted,
who were not adopted by others. The names of these descendants, and the name(s) of their deceased ancestor
are
If the alleged ward does not have a spouse, descendants, parent, brother, or sister or children of deceased brother or
sister, complete 8 (and 9, if applicable).
8. The alleged ward □ did not leave surviving grandparents. □ left surviving grandparents (both maternal and
paternal) named
9. Both maternal grandparents and/or both paternal grandparents have died. Their surviving descendants and their
relationships to the grandparents are
Maternal grandparents:
Paternal grandparents:
10. The following heirs listed above are under legal disability. Their name(s), legal disability, and name of their
representative are: (Please list below)
NAME OF LEGALLY
NAME OF
ADDRESS
DISABLED INDIVIDUAL
REPRESENTATIVE
Signature
Subscribed and sworn to before me on
My commission expires:
Notary public, State of Michigan, County of
,
Signature:
County, Michigan.